MedCan Delivery Member Application

Thanks for your interest in joining our Co-Op, please download and fill out our membership application. Fax or email the completed membership agreement along with your medical recommendation and copy of your valid State ID. We will immediately process your application then call you to confirm that it has been received, you will then be ready to visit our shopping page and place your order. If you don't have a fax or email, simply call us and we'll be happy to take your information over the phone.